Table 2.
Performance on care process measures
| Care Processes, n (%) | Site A Medical Intensive Care Unit (n = 219) | Site B General Medical/Surgical Intensive Care Unit (n = 213) | Site C Surgical Intensive Care Unit (n = 86) | All Sites (n = 518) |
|---|---|---|---|---|
| Identification of medical decision-maker | 58 (26.4) | 111 (52.1) | 53 (61.6) | 222 (42.9) |
| Determination of advanced directive status | 8 (3.7) | 111 (52.1) | 41 (47.7) | 160 (30.9) |
| Investigation of cardiopulmonary resuscitation preference | 36 (16.4) | 164 (77.0) | 7 (8.1) | 207 (40.0) |
| Distribution of family information leafleta | 33 (15.1) | 3 (1.4) | 3 (3.5) | 39 (7.5) |
| Interdisciplinary family meeting conducted | 38 (17.4) | 18 (8.5) | 43 (50.0) | 99 (19.1) |
| Offer of social work support | 46 (21.0) | 110 (51.6) | 15 (17.4) | 171 (33.0) |
| Offer of spiritual support | 1 (0.5) | 127 (59.6) | 28 (32.6) | 156 (30.1) |
| Regular pain assessment (%)b | 96.8 | 48.3 | 92.9 | 76.0 |
| Appropriate pain management (%)c | 93.4 | 61.3 | 80.9 | 80.1 |
a
Sites B and C did not have family leaflets to distribute at the beginning of the study;
b
the denominator is the number of 4-hr patient–nurse intervals (maximum of six per day) during the intensive care unit stay;
c
the denominator is the number of 4-hr patient–nurse intervals (maximum of six per day) during the intensive care unit stay in which pain was assessed.